Keloid is not a normal scar. It is a scar that continues to grow even after healing is complete.
Usually there is a tendency in some individuals to form keloids. Some areas like the ear lobes, anterior chest wall and shoulders are common regions for keloid formation. These are one of the most vexing problems to treat. Various modalities have been tried over the years with varied success. Presently the standard treatment is with Cortisone injections given inside the scar and by compression therapy.
In spite of this treatment some of the keloids may recur.
In large keloids an intrakeloidal excision may be attempted along with steroids and local radiation but keeping in mind that there is always a chance that the keloid may recur.
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